Individual provider · Type 1 NPI
Angela Gonzales Blackburn, NURSE PRACTITIONER
Family Nurse Practitioner · Jacksonville, FL
NPI number
1467257337
Active
Practice location
3940 Moss Oak Dr
Jacksonville, FL 32277-1325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 11037313 (FL) |
| Pediatric Nurse Practitioner | 363LP0200X | 11037313 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 11037313 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467257337
Angela Gonzales Blackburn, NURSE PRACTITIONER's National Provider Identifier is 1467257337, issued on Feb 15, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 15, 2025.